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DYLAN SCOTT TRIBOLET
NPI 1134869852
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since March 30, 2022PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dylan Scott Tribolet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN SCOTT TRIBOLET (NPI 1134869852) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2022).

NPPES Registry Identity

NPI1134869852
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN SCOTT TRIBOLET
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address933 N Jefferson StJackson, MS 39202-2624
Phone(601) 984-1000
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2022
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1134869852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 N STATE ST, Jackson, MS 39216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Scott Tribolet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547644254
PECOS Enrollment IDI20260730001918
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dylan Tribolet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi - University Of Mississippi Medical Center
Same address
General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1154317527 (601) 984-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Tribolet's NPI number?

The NPI number for Dylan Tribolet is 1134869852. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Dylan Tribolet located?

Dylan Tribolet practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Dylan Tribolet's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dylan Tribolet enrolled in Medicare?

Yes. Dylan Tribolet is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dylan Tribolet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Tribolet reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Tribolet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Tribolet accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Dylan Tribolet as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dylan Tribolet was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.